Health care reform evolves in distinct phases. Insurance reform, the critical first step, gained a foothold through the 2010 Affordable Care Act. The nation now enters the midst of payment reform, a second chapter motivated by the need to slow health care spending. Payers across the country are increasingly putting health care on a budget, moving from fee-for-service to lump-sum payments for bundles of services or populations of patients.
Hospitals, health care centers, and physicians in turn are consolidating into accountable care organizations (ACOs) to address these new payment contracts, which reward lower spending and higher quality. In July, 89 new ACOs were launched in Medicare. Combined with 59 Medicare ACOs started in January, these organizations bring more than 130 000 physicians and 2.2 million beneficiaries into an emerging model of organization-based health care.1 Global budget contracts from private insurers are doing the same for millions more working-age adults, their families, and their physicians.2
Organizational attributes for the 89 Shared Savings Program (SSP) accountable care organizations (ACOs) launched in July 2012 are collected as reported by the Centers for Medicare & Medicaid Services; those for the 27 SSP ACOs launched in January 2012 are as gathered by the authors. Organizations with multiple attributes are counted multiple times. On average, SSP ACOs had about 1.5 attributes each.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 14
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.